| NPI | 1659439396 |
|---|---|
| Doing Business As | STONECREST GATEWAY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JEFF RYDBURG VP 615-373-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-12-11 |