| NPI | 1558402800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS S WARR Owner 901-684-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE md4870) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |