| NPI | 1114792694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD B AL-HAMDA Chief Manager/Provider 901-444-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-05-14 |