| NPI | 1821233529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E DEROCHE Physician Sole Proprietor 615-984-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 37775) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2015-01-15 |