| NPI | 1598083594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT MONTGOMERY Officer/Authorized Official 615-848-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 210) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2025-10-31 |