| NPI | 1700036639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA D HART Vice President 615-848-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 10576) |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2008-09-28 |