| NPI | 1942400056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MYERS COO 931-455-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000191) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-08-05 |