| 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 |