| NPI | 1104055425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S OCHS Co Owner 423-346-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000133) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-07-21 |