| NPI | 1245295823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON LIEDTKE Vice President 615-344-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060169) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-05-22 |