| NPI | 1790041051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BOWERS Practice Manager/Owner 931-484-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 21710) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2015-10-20 |