| NPI | 1184610859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA A EASTERLY Manager 931-372-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-01-02 |