| NPI | 1083630560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA F EDMISTON Administrator 901-340-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD027101) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-01-23 |