| NPI | 1407139603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TOBIAS GRAY President 615-345-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |