| NPI | 1245055284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON FINKS President 901-412-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-09-02 |