NPI | 1134476179 |
---|---|
Doing Business As | AGELESS MEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | TEAH MICHELLE SMITH Credentialing Manager 901-205-3999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2012-08-09 |
Last Update Date | 2023-11-13 |