| NPI | 1942500319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ERIK SIEVEKING Owner 615-321-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |