| NPI | 1811090350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD GREEN Owner 615-452-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000110) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-11-18 |