| NPI | 1609827591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD E PRESTON CEO 931-540-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-06-10 |