NPI | 1336538644 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDRA COLLETTA CAMPBELL President 901-364-5660 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TN 174400000X) |
Enumeration Date | 2015-01-10 |
Last Update Date | 2015-01-10 |