| NPI | 1306496567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY SAUNDERS Practice Administrator 901-507-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-03-15 |