| NPI | 1649957168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MONTGOMERY Officer/Authorized Official 615-545-9132 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2026-04-24 |