| NPI | 1164739298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI STODDARD Office Manager 901-747-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN MD005273) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-20 |