| NPI | 1750418745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JANELLE WELLS Family Nurse Practitioner 931-388-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TN 363LF0000X) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |