| NPI | 1225067499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD M DRAKE Manager 901-685-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD3791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD0000022218) |
| 207R00000X Internal Medicine (Licence: TN MD27722) | |
| 207R00000X Internal Medicine (Licence: TN MD11043) | |
| 207R00000X Internal Medicine (Licence: TN MD34107) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-01-02 |