NPI | 1205421542 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY STARK-RIEMER VP Of Operations 615-656-0917 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2021-03-09 |
Last Update Date | 2025-08-13 |