| NPI | 1801897780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: MT 1554) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-04-08 |