| NPI | 1912984196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL M MYERS Practice Manager 931-528-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 7522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 020230) |
| 207R00000X Internal Medicine (Licence: TN 33892) | |
| 207R00000X Internal Medicine (Licence: TN 38941) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 6496) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 13543) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-09-11 |