| NPI | 1073966503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI REID Billing And Insurance Admin 615-446-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000036018) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-06-07 |