| NPI | 1285253336 |
|---|---|
| Doing Business As | PROVIDENCE ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Corporate Secretary 615-920-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |