| NPI | 1659046282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL WILLIAMS Oral Surgeon 901-348-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |