| NPI | 1699947713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUMERSINDO LEAL Owner 901-323-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 26031) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-06-24 |