| NPI | 1073763942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR WEBB Cheif Medical Director 901-261-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TN 13580) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |