| NPI | 1023078979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. OLIVER HARDY President 901-343-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 12332) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 12332) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-07-21 |