| 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 |