NPI | 1356359632 |
---|---|
Entity Type | Organization |
Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-03-10 |