| NPI | 1790078962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD STEPHEN BOOMERSHINE Chief Manager 615-435-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 38402) |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2011-11-21 |