NPI | 1689669418 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0301) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2022-08-09 |