| NPI | 1164057543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA TAMBOLI Owner/Authorized Official 615-300-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-09-16 |