| NPI | 1669730396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOSEVELT PEEBLES Physician 615-320-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN MD00024686) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |