NPI | 1790064954 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS MANIS Manager 615-804-0506 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2011-08-05 |
Last Update Date | 2013-03-18 |