NPI | 1093130585 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDOLPH SITES Executive Director 901-545-7125 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207L00000X Anesthesiology |
207LC0200X Anesthesiology, Critical Care Medicine | |
207P00000X Emergency Medicine | |
208M00000X Hospitalist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
367500000X Nurse Anesthetist, Certified Registered | |
367A00000X Advanced Practice Midwife | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
2084N0400X Psychiatry & Neurology, Neurology | |
2085R0202X Radiology, Diagnostic Radiology | |
Enumeration Date | 2014-02-20 |
Last Update Date | 2018-03-29 |