| NPI | 1013595040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HALL Medical Director 901-207-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-07-23 |