NPI | 1619509049 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MANN Credentialing Biliing Manager 901-422-7608 |
Organization Subpart ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
Enumeration Date | 2020-02-04 |
Last Update Date | 2021-12-27 |