NPI | 1346661956 |
---|---|
Doing Business As | NEA BAPTIST CLINIC |
Entity Type | Organization |
Authorized Contact | GREGORY M. DUCKETT Sr. VP / Corporate Secretary 901-227-5233 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AR MC-2122) |
Enumeration Date | 2013-12-27 |
Last Update Date | 2020-09-30 |