| NPI | 1609078930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDYCE T JONES Executive Director 615-681-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD037904) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-08-27 |