| NPI | 1477067866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DISMUKES FORBES Billing Manager 615-449-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2019-01-10 |