| NPI | 1720268279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CORLE Authorized Official 615-778-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0874AS) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2015-09-24 |