NPI | 1184697930 |
---|---|
Doing Business As | WALLACE LASER AND SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY E SNODGRASS President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 89) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2022-04-06 |