| NPI | 1346270329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN OCONNOR Authorized Official 615-376-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH686) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-10-11 |