| NPI | 1386790491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME S SIEGEL President 901-683-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: TN MD26874) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN MD4189) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |