| NPI | 1891783981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. LADOUCEUR General Manager 615-232-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD0000031901) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN MD0000031901) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2009-03-02 |