| 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 |