| NPI | 1649314501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ROBERTS Office Manager 731-587-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN MD 18562) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-11 |