| NPI | 1720345408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBBY B PLUNKETT Practice Manager 931-528-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 23607) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-12-06 |