| NPI | 1629019062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAVERTY VP 615-507-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-06-14 |