NPI | 1497083703 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE ROBERT WOODBURY President 901-683-2874 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000018701) |
Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000024040) |
Enumeration Date | 2009-11-24 |
Last Update Date | 2009-11-24 |