| NPI | 1063123578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BLOEBAUM Vice President, Operational Integra 615-423-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |