NPI | 1023010311 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 130-1) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2022-11-03 |