| NPI | 1174842181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA PERRY Manager, Provider Enrollment 901-478-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 363AS0400X Physician Assistant, Surgical | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363A00000X Physician Assistant | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2025-09-22 |