| NPI | 1932112620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPE KEHINDE Sole Member 615-444-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 40614) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 40614) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |