| NPI | 1003951963 |
|---|---|
| Doing Business As | LIFEDOC |
| Entity Type | Organization |
| Authorized Contact | DWIGHT B COWAN COO 901-531-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD000035089) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-08-17 |