| NPI | 1427539113 |
|---|---|
| Doing Business As | ADVANCED SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SUSAN FENTON Authorized Official 615-851-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |