NPI | 1548839459 |
---|---|
Doing Business As | INTEGRATED MEDICINE CLINIC |
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 |