| NPI | 1063673184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BURTON GOOCH President 901-747-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-10-13 |