| NPI | 1275164162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BROWNING Provider Enrollment 615-309-2636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |