| NPI | 1659693471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIE B. LACY Partnership 901-372-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TN L000000005891) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |