NPI | 1215087564 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE H WEAVER Office Manager 423-756-6623 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
Enumeration Date | 2007-01-11 |
Last Update Date | 2012-01-12 |