| NPI | 1962796888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANGELA SKELTON Owner 931-296-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: TN MD8719) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: TN APN0000015777) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |