NPI | 1679951065 |
---|---|
Entity Type | Organization |
Authorized Contact | SUBIR GUHA Supervising Physician 615-452-5901 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TN MD0000029196) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD0000029196) |
Enumeration Date | 2015-05-18 |
Last Update Date | 2015-05-19 |