| NPI | 1689349714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL WALSH BYRUM Credentialing Manager 901-756-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |