| NPI | 1902211915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BOGLE Chief Financial Officer 615-595-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-08-11 |