| NPI | 1699356311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA SHAW HENDERSON President 615-585-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-05-01 |