| NPI | 1194062307 |
|---|---|
| Former Legal Business Name | 411-PAIN MEMPHIS, INC. |
| Entity Type | Organization |
| Authorized Contact | KELLY DIANNE SELLERS President/ Owner 901-377-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |