| NPI | 1043240716 |
|---|---|
| Doing Business As | SPORTS, ORTHOPEDICS & SPINE |
| Entity Type | Organization |
| Authorized Contact | KAY JORDAN Administrator 731-427-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 26655) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-01-05 |