| NPI | 1134328370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CALFEE Member Manager 731-885-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD34241) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN MD30242) |
| 225100000X Physical Therapist (Licence: TN 7562) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2020-09-29 |