| NPI | 1932482122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI KIZER Office Manager 931-762-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD024363) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 44551) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-12-21 |