NPI | 1386150530 |
---|---|
Entity Type | Organization |
Authorized Contact | ORAN LEE BERKENSTOCK Owner 901-756-9058 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 24724) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 24724) |
Enumeration Date | 2017-12-26 |
Last Update Date | 2023-07-10 |