| NPI | 1033376348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELLE CULBRETH Owner/Partner 901-763-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD37786) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |