NPI | 1548566839 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH C DEWANE President/Owner 901-761-4491 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 12115) |
Enumeration Date | 2011-02-03 |
Last Update Date | 2011-02-03 |