| NPI | 1467043703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE ILARI Office Administrator 901-209-0195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |