| NPI | 1902198948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TEDRICK JOHNSON Group Vice President/AO 615-372-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2020-10-15 |