| NPI | 1699091447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A THOMAS Owner 931-245-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006394) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-08-12 |