| NPI | 1598719098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA H. CASTELLANI Practice Manager 615-283-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD19715) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |