| NPI | 1982093480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL KEIPER Owner 615-830-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 7462) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |