| NPI | 1083882336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN HAYWOOD SHUCK President 423-622-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TN 11816) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |