NPI | 1639936529 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2024-03-06 |
Last Update Date | 2024-03-06 |