| NPI | 1376095596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE WALKER Owner 901-573-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN APN0000011998) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |