| NPI | 1447506514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLARK Certified Surgical Assistant / Owne 901-590-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |