| NPI | 1174990899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TOBIAS GRAY CEO 615-657-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA3649) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2019-10-03 |