| NPI | 1679772685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D BOMBOY Owner 615-292-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 8197) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-10-16 |