NPI | 1699286922 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2017-10-13 |
Last Update Date | 2022-12-19 |