| NPI | 1659354074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM L BOWLIN Billing Manager 931-484-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TN 0000000091) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2008-10-22 |