NPI | 1689755928 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Officials 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC2285) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-02-12 |