| NPI | 1053346064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE WILSON Operations Manager 901-767-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-02-24 |