| NPI | 1871699546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS KIRK PARDUE Medical Doctor Owner 615-871-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD024626) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |