| NPI | 1851491609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY KELLUM Office Manager 615-453-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-04-08 |