NPI | 1104036722 |
---|---|
Doing Business As | MIDDLE TENNESSEE VASCULAR ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BRIAN WHITE Administrator 615-369-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TX MD15444) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2014-05-20 |