101YA0400X
Columbia, TN
Specialty
101YA0400X
Credential
LPC-MHSP
NPI
1316531650
1510 1/2 Hatcher Ln, Columbia, TN 38401
(931) 381-7818Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 101ya0400x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YA0400X