NPI | 1073770228 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN H SHELL Physician/Owner 901-682-6828 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MS 20125) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2012-11-12 |