| NPI | 1962245076 |
|---|---|
| Doing Business As | REVAMP HEART & VASCULAR SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-09-09 |