| NPI | 1063608271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHEATHAM BALLARD President 901-853-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 007768) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |