| NPI | 1396923025 |
|---|---|
| Doing Business As | AGELESS MEN'S HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | TEAH MICHELLE SMITH Credentialing Manager 901-205-3999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TN 44D1072470) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2023-11-13 |