NPI | 1033448782 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD STEVENS President, Board Of Managers 615-345-6868 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2009-12-09 |
Last Update Date | 2017-07-10 |