| NPI | 1750449443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME ROM CEO 865-306-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| 2086S0129X Surgery Vascular Surgery | |
| 2086X0206X Surgery Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-07-14 |