| NPI | 1285062067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK NATHAN BOSCACCY Manager 901-730-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |