NPI | 1700138781 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JAMES MILLER VP Managed Care 615-665-7122 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA 009735) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2013-08-23 |