| NPI | 1104818145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE P CUNNINGHAM Manager Director 901-291-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-04-28 |