| NPI | 1821296088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY SON President 615-333-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD 11290) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TN MD 38730) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN MD 11290) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: TN 38730) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN MD11290) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: TN MD42852) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: TN MD42852) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TN MD42852) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 6193390001) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-08-30 |