| NPI | 1124812763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY G ANDERSON CEO 901-634-8816 |
| 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 | 2025-07-11 |