| NPI | 1811196066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LEE CANNADY President/Owner 731-584-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TN APN6264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6264) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2014-02-14 |