| NPI | 1366456618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 23000358) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-02-08 |