| NPI | 1043476260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAVERTY Vice President 615-507-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2021-09-07 |