| NPI | 1760544399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNNA JANE GRECO General Partner 615-477-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN PA0000000978) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |