NPI | 1043236664 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN O'CONNOR Officer/Authorized Official 615-376-7315 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH 702) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2024-11-20 |