NPI | 1093348161 |
---|---|
Doing Business As | AGELESS MEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | MICHELLE WILLIAMS Credentialing 901-757-5783 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-18 |