| NPI | 1114260254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B. BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-02-15 |