| NPI | 1073658415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA K BARSOTTI Director 901-827-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TN APN0000008853) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-02-25 |