| NPI | 1578819033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BUCARAT CEO 615-946-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TN 31548) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-09-18 |