| NPI | 1023505633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD MALIK Authorized Official 901-235-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN IN01070968A) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |