| NPI | 1699315366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Corporate Secretary 615-920-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |