| NPI | 1861257396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT TYSON Director, Managed Care Contracting 615-477-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2026-07-15 |