| NPI | 1023550100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LENDERMAN KING Owner 901-861-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 15081) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-29 |