| NPI | 1295785970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S DALLAS President 865-483-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN No State Lic for gro) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-07-14 |