| NPI | 1730489840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-920-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2017-09-27 |