| NPI | 1063873909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH WILES Nurse Practitioner 901-751-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |