| NPI | 1073579272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL KIOSCHOS Md President 615-329-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 34209) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 40034) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: TN 36613) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |