| NPI | 1740425222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Provider Enrollment 615-465-7626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |