| NPI | 1508318411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP40048) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-03-08 |