NPI | 1992709851 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002678) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2021-05-11 |