| NPI | 1396105490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HARDAWAY CEO/Owner 901-774-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TN L000000017824) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |