| NPI | 1366025033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI REID Credentialing Specialist 615-752-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2024-03-28 |