| NPI | 1295859312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE DURRELL BOWEN Owner 901-756-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 38708) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |