| NPI | 1851516728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC3462) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-09-12 |