| 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 |