| NPI | 1972532539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CT 0289) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-08-09 |