NPI | 1962676304 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY E. SNODGRASS President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 247-0) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2022-05-10 |