| NPI | 1861225260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DELATTE Owner 615-656-3045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-11-06 |