| NPI | 1083807739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONIE G JOHNS Office Manager 901-761-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN md0000004227) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |