| NPI | 1982051454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDLER RAY ANDERSON Chairman 931-446-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |