| NPI | 1790592004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J FEY VP Physician Services Financial Ops 615-221-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |