| NPI | 1144475443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA F. EDMISTON Administrator 901-396-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD010326) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |