| NPI | 1629035654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEDHAR SAMUDRALA Owner 615-373-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000036148) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2025-01-21 |