| NPI | 1699731869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNE HUTTON Administrator 931-507-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 44C0001128) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |