NPI | 1053510933 |
---|---|
Doing Business As | MONTGOMERY EYE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | PHILLIP A CLENDENIN President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL U5103) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2023-09-07 |