| NPI | 1699780247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Offical 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 954604812) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-03-01 |