| NPI | 1518105923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOM E LOBE President 901-550-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G88065) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| 208D00000X General Practice (Licence: CA G88065) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2011-10-18 |