| 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 |