| NPI | 1174094908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HOMOLYA Manager 615-419-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-01-13 |