| NPI | 1023075041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELLE THORPE Administrator 901-729-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-06-17 |