| NPI | 1386478949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WRIGHT Manager 901-201-5675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-25 |