| NPI | 1902002975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY J SMITH President 615-646-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TN md19182) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |