| NPI | 1467640045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HURLEY Office Manager 901-681-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 20339) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2011-07-18 |