| NPI | 1649458282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA M. KNOWLES, MD Md 901-759-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 34192) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |