NPI | 1457634180 |
---|---|
Entity Type | Organization |
Authorized Contact | SHREAREST MIGNON CRENSHAW Physician 901-684-4646 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 39250) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |