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 |