| NPI | 1225177942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARE ELLA GEATER Doctor 901-948-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 28070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 117022) |
| 207Q00000X Family Medicine (Licence: MS 14900) | |
| 207Q00000X Family Medicine (Licence: AL 18544) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 7672) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-12-14 |