| NPI | 1609502533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BABCOCK Owner 615-604-8364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |