| NPI | 1184812117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M WOOTTON Clinic Director 901-756-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2011-06-09 |