| NPI | 1083433825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY MCDONALD Operations Manager 901-390-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-07-28 |