| NPI | 1366196461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEE BOYETT Credentialing Specialist 615-637-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-08-08 |