| NPI | 1609864883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X (Licence: CT 0295) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-08-09 |