| NPI | 1861162430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN N MASHBURN Np/Owner 931-371-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-02-21 |