| NPI | 1902298110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK Vice President 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2022-02-14 |