| NPI | 1598538571 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | KRISTIE PEGGINS Nurse Practitioner/Owner 901-601-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |