| NPI | 1528053311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENE SUGAGE ZUA Medical Director 615-868-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 160) |
| Enumeration Date | 2005-09-17 |
| Last Update Date | 2007-07-13 |