| NPI | 1770985921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNETTA K DUNCAN Office Administrator 615-900-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 20465) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |