| NPI | 1689902207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WESBERRY Owner 901-362-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000051) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |