| NPI | 1639498579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2025-02-17 |