| NPI | 1801262795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN BAKER COO 615-221-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD0000044247) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |