| NPI | 1487715736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT MICHEAL THAYER Managing Partner 901-763-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD25714) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-03-05 |