| NPI | 1407992878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN L RAGSDALE Billing Manager 615-453-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 103) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-02-02 |