| NPI | 1316096720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY E PRESLEY Owner 901-454-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN0000113659) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |