| NPI | 1285637090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L CUNNINGHAM Owner 901-291-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS MD 11905) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN MD 16101) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-04-13 |