| NPI | 1306335088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A KEEL CFO 901-595-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| 122300000X Dentist | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-09-10 |