| NPI | 1770830804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISION PATRICE PUCKETT Owner 615-585-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2013-05-16 |