| NPI | 1417622390 |
|---|---|
| Doing Business As | TRUE STAGE WAVERLY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WRIGHT Legal Counsel 615-577-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-07-18 |