| NPI | 1841496106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K STUBBS Manager 931-456-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 41045) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-10-30 |