| NPI | 1699485458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEOBU PETER President 615-461-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-04-29 |