| NPI | 1760876627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R DELL CEO 865-769-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN MD025063) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-09-24 |