| NPI | 1710314513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA C GRESHAM Founder/Medical Advisor 931-735-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 24607) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |