| NPI | 1942484605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DELOZIER Owner 615-565-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 00000165) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |