| NPI | 1811911233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN WEST Office Manager 615-826-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN8044) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-10-30 |