| NPI | 1043857436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY K MANN Credentialing Manager 901-422-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2021-12-27 |