NPI | 1154074326 |
---|---|
Doing Business As | TRUE STAGE MADISON |
Entity Type | Organization |
Authorized Contact | JONATHAN LEIZMAN President 615-468-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-01-28 |
Last Update Date | 2023-07-18 |