| NPI | 1558559096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN GORDON M.D. 901-751-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN E57231) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-12-13 |