| NPI | 1528492287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TEDERICK JOHNSON Group Vice President/AO 615-372-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-10-15 |