| NPI | 1225245814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LAURENCE YUKON Physician Owner 901-755-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN MD26524) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |