NPI | 1578646006 |
---|---|
Entity Type | Organization |
Authorized Contact | KAE EDINGTON Director, Provider Support Services 615-936-0471 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207K00000X Allergy & Immunology |
207RA0201X Internal Medicine, Allergy & Immunology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207Y00000X Otolaryngology | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2025-09-11 |