| NPI | 1568431054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONEL PHIPPS Operations Manager 931-456-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TN 0000000130) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-06-02 |