| NPI | 1902619661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHRYN LUNCEFORD-LEVESQUE Owner 615-878-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |