NPI | 1982178042 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY MUSIC AO Credentialling Director 615-465-7377 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-01-11 |
Last Update Date | 2024-08-14 |