| NPI | 1760794481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK VP 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2023-01-02 |