| NPI | 1972347821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEITH SULLIVAN Director Of Clinical Operations 615-495-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-04-04 |