| NPI | 1760482434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R HANNA President 901-287-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN N/A) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2015-01-03 |