| NPI | 1104815430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER SCOTT DUBE Owner 615-391-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2025-04-08 |