| NPI | 1710413026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J ZECCO Owner 615-855-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |