| NPI | 1578014452 |
|---|---|
| Doing Business As | SOUTH SIDE CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DON SLOAN President/Owner 615-384-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 1150) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-11-18 |