| NPI | 1497032304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sir Dir Prov Enrollment & Onboardin 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2022-01-14 |