| NPI | 1275827875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA LEE MCCULLOUGH Office Manager 931-954-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD0000043715) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2015-03-23 |