| NPI | 1073682159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA AQA3) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-09-13 |