| NPI | 1144835539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS DAVIS Clinic Administrator 901-590-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-11-05 |