| NPI | 1760931679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC R WATKINS Cmo 615-425-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-12-21 |