| NPI | 1881901163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GARDNER President 901-861-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 35417) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |