| NPI | 1790844132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBA R GOLLAMUDI Managing Partner 901-685-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TN 0000000049) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000049) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-07-25 |