| NPI | 1932186640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK Vice President 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-06-25 |