NPI | 1760641716 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANTE SMITH STEWARD Owner 901-366-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007696) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2015-02-23 |