NPI | 1649462557 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA HUFFMAN Office Manager 901-683-0417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD4575) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2007-08-29 |