| NPI | 1689323776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA STREICHER GREEN Owner/Medical D Irector 931-212-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |