| NPI | 1942766225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA A CAVER-BALLARD Owner 931-272-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-05-02 |