NPI | 1003648890 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD V ROBINSON Member 901-218-6771 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-09-05 |