| NPI | 1851570071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Onboarding & Prov Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2022-03-18 |