| NPI | 1477809614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G STOCKDELL Audiologist 615-890-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TN 75) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |