| NPI | 1962085621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI REID Billing And Insurance Admin 615-569-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2022-08-04 |