| NPI | 1184711590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOAIB QURESHI Owner 901-384-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-07-26 |