| NPI | 1629204037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA GAGER Owner/President 615-354-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000010850) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |