NPI | 1891428595 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN REEL Controller 615-864-8709 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X Clinic/Center | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-12-02 |