| NPI | 1801675426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGAR KANUBHAI SHAH Physician 931-802-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-08-26 |