NPI | 1255915286 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY KEITH GREBE President 901-791-9386 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility |
261QF0050X Clinic/Center Family Planning, Non-Surgical | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2021-05-06 |
Last Update Date | 2024-06-10 |