| NPI | 1073598066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN DANIELSON Director Facility Administrator 615-250-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000019) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |