| NPI | 1023554011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. OLIVER HARDY Physician / Surgeon 901-343-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD0000012332) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |