| NPI | 1942414750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRYE CRONE Administrative Director 901-516-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |