| NPI | 1760447015 |
|---|---|
| Doing Business As | SHEA CLINIC, ASC |
| Entity Type | Organization |
| Authorized Contact | JOHN R GROSS Administrator 901-761-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000050) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-10-21 |