NPI | 1881605509 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN R MYNATT Owner 865-982-7540 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TN 012896) |
Additional Taxonomies | 208800000X Urology (Licence: TN MC0000012896) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2010-08-09 |