| NPI | 1457490591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA FAYE ISBELL Office Manager 731-885-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD00005749) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-25 |