NPI | 1982273637 |
---|---|
Doing Business As | PATH NASHVILLE PROFESSIONAL GROUP |
Entity Type | Organization |
Authorized Contact | FLORA F. SADRI-AZARBAYEJANI President, Secretary, Director 413-498-5563 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-06-17 |
Last Update Date | 2021-06-17 |