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 |