| NPI | 1346548229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2022-03-16 |