| NPI | 1629446125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SUZANNE TURNER Practice Manager 931-787-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 30511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14809) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-06-28 |