NPI | 1568442747 |
---|---|
Entity Type | Organization |
Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-01-23 |
Last Update Date | 2024-03-27 |