| NPI | 1700197183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A HOWERTON Md 731-215-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 31314) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 31314) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-08-12 |