| NPI | 1285321307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STUART MCKENZIE Owner 615-441-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-08-28 |