| NPI | 1578882320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A BRAYFIELD Member 615-907-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA011) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA095) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN120814) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |