| NPI | 1629433081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASEN GUNDERSEN Shareholder 423-282-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |