| NPI | 1679525448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRAIG BRENT CAO 865-632-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-10-06 |