NPI | 1730467184 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY CESSNA ALLISON Nurse Practitioner 931-622-2459 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 15482) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2012-04-01 |