| NPI | 1679966717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN THOMAS Cfnp 931-245-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN 0000006394) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |