| NPI | 1366509721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA MOSIEJ BROWN Office Administrator 901-405-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-08-09 |