| NPI | 1760376784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BLASCHKE Manager 615-979-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |