| NPI | 1679521389 |
|---|---|
| Doing Business As | WESLEY OPHTHALMIC PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RALPH E. WESLEY Owner 615-329-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000072) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-06-28 |