NPI | 1659675445 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN RAY BROUGHT Owner/Physician 615-791-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TN 2115) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-01-07 |