| NPI | 1619143930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CUNEO Manager 615-240-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 969) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |