| NPI | 1013312172 |
|---|---|
| Doing Business As | OLD TOWNE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN C BRAME Owner 901-489-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R644986) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2019-07-30 |