| NPI | 1740655158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN J PEASE CEO 901-728-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 152W00000X Optometrist |
| 174400000X Specialist | |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |