| NPI | 1629683750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW G. MICHAELS CEO 615-861-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-28 |