| 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 |