| NPI | 1760939516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Cheif Doctor 931-879-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN F06162314) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |