NPI | 1255387569 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH GOLDBERG President 615-384-8211 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2019-09-11 |