| NPI | 1770849143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M KIMLER Owner 901-362-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 000000051) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |