| NPI | 1902270770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ENDERLE Authorized Signatory 615-600-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2017-11-02 |