NPI | 1063486504 |
---|---|
Doing Business As | LAKE MURRAY ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | PHILLIP CLENDENIN President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-076) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2023-09-07 |