| NPI | 1053550046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-920-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2017-09-27 |