| NPI | 1457957391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MUSIC Director, Provider Enrollment 615-465-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2024-08-21 |