| NPI | 1790421741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SEIBELS CFO 615-610-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-03-28 |