NPI | 1295068500 |
---|---|
Entity Type | Organization |
Authorized Contact | JON B PETERS Sr. Vice President 901-385-3688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: VA 0201004011) |
Enumeration Date | 2009-09-18 |
Last Update Date | 2009-09-18 |