| NPI | 1437041068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA H WONG Chief Manager 901-881-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-31 |