| NPI | 1194286658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BLYTHE Owner 615-329-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |