| NPI | 1073075784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LELAND HUTTON EADIE Director 615-733-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |