| NPI | 1750516449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYNTHIA A.G. PHILLIPS Owner 615-865-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN TN 0000000841) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2009-07-31 |