NPI | 1245367051 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN BRUMMETT Administrator 615-345-6879 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000943) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2012-04-06 |