| NPI | 1043260763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A ELLZEY President 901-473-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 174400000X Specialist |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-08-29 |