| NPI | 1447495858 |
|---|---|
| Doing Business As | AGELESS MEN'S HEALTH |
| Entity Type | Organization |
| Authorized Contact | TEAH MICHELLE SMITH Credentialing Manager 901-205-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2023-11-13 |