| NPI | 1700198793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY W PULLIAM Chief Manager 615-791-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN TN15444) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |