| NPI | 1649202102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN C KEY CEO 931-783-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-06-21 |