NPI | 1164943387 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES GRAFFORD HILGENHURST Medical Director 615-223-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 38297) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2017-06-28 |
Last Update Date | 2021-08-30 |