| NPI | 1366416653 |
|---|---|
| Other Name | PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | LYNN HARRIS Administrative Assistant 901-726-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-04-15 |