| NPI | 1841712452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT MONTGOMERY Officer / Authorized Official 615-545-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-09-30 |