| NPI | 1720161771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBA R. GOLLAMUDI Medical Director 901-685-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-25 |