| NPI | 1902873953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HUDSON Administrator 931-438-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2009-11-11 |