| NPI | 1912125600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONE KOFORD Division President 615-372-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0042141) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-05-18 |