| NPI | 1114202892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KELLY President, Board Of Managers 615-345-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2021-02-16 |