| NPI | 1972754315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADNAKANTA MISHRA Office Manager 615-885-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN M.D. 8780) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |