| NPI | 1356626618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-09-30 |