NPI | 1770103863 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY A WHITLOCK VP Finance/It 931-540-4212 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RC0200X Internal Medicine Critical Care Medicine | |
207RP1001X Internal Medicine Pulmonary Disease | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
208VP0014X Pain Medicine Interventional Pain Medicine | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2025-06-03 |