| NPI | 1093766206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD E PRESTON Executive Director 931-540-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-06-10 |