| NPI | 1083858831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A DEMKE CEO 615-467-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2015-05-05 |