| NPI | 1407595937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HIGHTOWER Director Of Revenue 615-441-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |