NPI | 1083330690 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK SAGA Managing Member 901-501-7242 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1223G0001X Dentist, General Practice | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-10-14 |
Last Update Date | 2022-10-14 |