| NPI | 1215029756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WANG Physician 901-725-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 30878) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |