| NPI | 1033155783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MS AT0300) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-10-01 |