| NPI | 1548839459 |
|---|---|
| Doing Business As | INTEGRATED MEDICINE CLINIC |
| Doing Business As | RADIANT LIFE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL D BEIS President 901-582-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-03-02 |