| NPI | 1508150186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M KIMLER Owner 901-362-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 51) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-07-26 |