| NPI | 1487162350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HANNON Billing Specialist 615-386-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2022-01-12 |