| NPI | 1992987101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIANNE SWEET Owner 615-313-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 27001) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |