| 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 |