| NPI | 1033705249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALEXANDER STAFFORD Administrator/Surgical Assistant 901-831-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2021-04-08 |