| NPI | 1609850692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA PERRY Manager, Provider Enrollment 901-478-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2025-09-22 |