| NPI | 1003837279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE T DAVIS Owner 901-683-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 06816) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-07-08 |