| NPI | 1427795913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-03-10 |