| NPI | 1326503632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE MARSHALL Physician 615-775-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2025-11-24 |