| NPI | 1629279054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MUSIC Director Provider Enrollment 615-465-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-02-14 |