| NPI | 1487982575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HALL Clinical Coordinator 901-463-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |