| NPI | 1083749352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG FREDRICK MCCABE Owner 615-904-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000031525) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |