| NPI | 1588941942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED AHMED NASEERUDDIN Medical Director 931-645-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TN MD45045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN15967) |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2012-06-20 |