| NPI | 1962961466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE GARRETT Practice Manager 931-864-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-05-12 |