NPI | 1518998764 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK OLIVER Business Office Manager 615-941-8501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TN 154) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2011-11-29 |