| NPI | 1346419454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAYNE MARSHALL Owner 901-323-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD0000009649) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2011-12-06 |