| NPI | 1679970941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR TILLER Regional Director Of Managed Care 615-332-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL os12597) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |