| NPI | 1336547421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S-087-002) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2022-10-10 |