| NPI | 1497296198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP A. CLENDENIN President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 21591501) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2025-04-16 |