| NPI | 1508120387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN J PEASE CEO 901-728-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 13712) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2014-08-25 |