| NPI | 1164428272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ND 35C0001011) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-02-19 |