| NPI | 1275064057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD LERRIS BURGESS Medical Director 615-512-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD0000025546) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-04-28 |