| NPI | 1447596465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ANDRIES HERHOLDT Doctor/Owner 931-644-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 27789) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2014-05-01 |