| 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 |