| NPI | 1861024895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY EVERMAN Owner 615-250-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |