| 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 |