NPI | 1649574211 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALAN WILSON President 615-245-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN 15390) |
Enumeration Date | 2010-12-22 |
Last Update Date | 2019-11-05 |