| NPI | 1063389963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY EDWARD HAAG Clinical Operations Manager 615-474-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-28 |