| NPI | 1104877703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY V MORRIS Practice Administrator 731-424-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy | |
| 207Q00000X Family Medicine (Licence: TN 29728) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |