| NPI | 1104854124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN REID DICKERSON President 615-824-3737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 363A00000X Physician Assistant | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-03-30 |