| NPI | 1356302723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A SIMPSON Administrator 423-756-7134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0105X Surgery, Surgery of the Hand | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-01-28 |