| NPI | 1417377649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W. HOLST Director 615-345-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: HI FSOF-9) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |