| NPI | 1902081987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANETTLE RAY Owner/Provider 615-746-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |