| NPI | 1124528468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNI CLEMMONS COO 931-253-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2022-10-11 |