NPI | 1699069732 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN REBOK VP 615-372-5004 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2011-06-07 |
Last Update Date | 2023-01-02 |