| NPI | 1275397812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT MIRCHANDANI Authorized Official 901-289-4227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |