| NPI | 1578813531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL F PEAN Owner 901-881-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 30641) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 30641) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |