| NPI | 1740234590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTIE DOUGLAS Payer Relations Manager 615-514-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-04-02 |