| NPI | 1922155910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALMADGE ALLEN POLK Medical Doctor 615-890-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 17760) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |