NPI | 1073579272 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL KIOSCHOS Md President 615-329-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TN 36613) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 34209) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 40034) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2025-09-11 |