| NPI | 1043083942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PEARSON REDMOND CEO 901-870-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-01-19 |