| NPI | 1801945704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RAINES Administrator 615-599-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000150) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |