| NPI | 1902089055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. DIANE SELLARS Credentialling/Accounting 615-746-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: TX L5631) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-01-09 |