| NPI | 1053470021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERBERT SHULL President 901-757-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD17329) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-01-11 |