| NPI | 1801851902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-06-25 |