| NPI | 1801036652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN FOSTER Practice Administrator 615-498-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN 7855) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |