| NPI | 1578876124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003150) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2023-03-06 |