| NPI | 1134522691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK Vice President 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2086S0129X | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2022-11-15 |