| NPI | 1497770291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD SEIBEL Owner 901-767-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 15354) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-08-31 |