| NPI | 1992309389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY GRIFFIETH Office Manager RN 931-444-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-03-07 |