NPI | 1427389543 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK HAYDEN COOPER Owner Thoracic Surgeon 865-257-5896 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 41864) |
Additional Taxonomies | 208600000X Surgery (Licence: TN 41864) |
Enumeration Date | 2010-01-29 |
Last Update Date | 2015-09-16 |