| NPI | 1588663660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208600000X Surgery | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2009-08-06 |