| NPI | 1851810774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DALE MANLEY Office Manager 615-321-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |