| NPI | 1831971142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIE SMITH Credentialing Specialist 615-479-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |