| NPI | 1649461435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE GARDNER BURKE Secretary/Treasurer 901-725-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 3843) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |