| NPI | 1245561828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAH MICHELLE SMITH Credentialing Manager 901-205-3999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA PA13875) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2023-11-13 |