| NPI | 1629457254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED PHILLIPS Owner/Practitioner 901-438-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003572) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |