| NPI | 1508101460 |
|---|---|
| Other Name | GEORGETOWN BARIATRICS & ADVANCED SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D VAUGHN Vice President 615-372-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2016-09-22 |