| NPI | 1689034548 |
|---|---|
| Doing Business As | PROVIDENCE SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JESS JUDY President 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2017-02-22 |