| NPI | 1699758771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND W. OWEN Owner President 901-383-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN md17915) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-22 |