| NPI | 1588853634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALADRAINE E SANDS Owner/Physician 615-333-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 30718) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2019-05-09 |