| NPI | 1255939559 |
|---|---|
| Doing Business As | DO NOT USE |
| Doing Business As | NPI NOT IN USE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-06-14 |