| NPI | 1942556493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY CUSTOMS CEO 615-934-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 15976) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-09-18 |