NPI | 1821517285 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN L GOLDEN Member 615-521-0191 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2017-09-15 |
Last Update Date | 2025-07-13 |