| NPI | 1114138914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE HAYNES Persident CEO 615-298-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: KY SA121) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |