| NPI | 1598952202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARK SELLERS Owner 615-217-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 27422) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |