| NPI | 1417176561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE SHOCKLEY President 931-260-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-27 |