| NPI | 1851890636 |
|---|---|
| Doing Business As | OLD TOWN ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALINA LOGAN Vice President 615-240-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |