| NPI | 1568905248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA LAGACY Office Manager 615-342-0264 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2017-07-18 |