NPI | 1609195965 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY FIELDS Owner/Provider 865-288-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
208800000X Urology | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2024-03-01 |