| NPI | 1023115078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 15801501) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-11-19 |