| NPI | 1659563419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIENVENIDO T SAMSON Md/Owner 615-374-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 025108) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 025108) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |