| NPI | 1518037811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ROYAL LANGSDON Medical Director 901-756-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000059) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-02-08 |