| NPI | 1649498783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLYN LOUZELLE CHERNEY Administrator 615-377-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD26392) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-04-04 |