| NPI | 1538798558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVILLE HARRIS Administrator 901-255-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-08-12 |