| NPI | 1043860448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROCCO MACMILLAN RODNEY Medical Director 901-831-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |