| NPI | 1124812763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY GAIL ANDERSON President 901-779-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2026-01-29 |