NPI | 1053017004 |
---|---|
Doing Business As | AGELESS WOMEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | TEAH SMITH Credentialing Manager 901-205-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-02-01 |
Last Update Date | 2024-03-08 |