| NPI | 1134345705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-03-10 |