| NPI | 1215354980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SHURDEN Practice Manager 615-298-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TN 39425) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TN 42115) |
| 207ND0900X Dermatology, Dermatopathology (Licence: TN 47062) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 16790) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |