NPI | 1104181247 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN OCONNOR Authorize Offical 615-376-7315 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2012-07-04 |
Last Update Date | 2024-09-18 |