| NPI | 1033406111 |
|---|---|
| Doing Business As | MEDIPHARM HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | NYANDAY R. OTI Administrator/CEO 901-746-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD7664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN 16134) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: TN 44D2021574) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-11-28 |