| NPI | 1558115402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINE VAN UTRECHT COO 615-791-2641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |