NPI | 1629203567 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CAPPS Owner 615-375-1634 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 320594194) |
Additional Taxonomies | 302R00000X Health Maintenance Organization |
Enumeration Date | 2009-05-21 |
Last Update Date | 2024-12-13 |