| NPI | 1831896562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY TYLER MANN CEO 270-250-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |