NPI | 1023182581 |
---|---|
Entity Type | Organization |
Authorized Contact | KIT SANFORD MAYS Medical Director 901-979-8003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000064) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2022-10-28 |