| NPI | 1760798227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP / Clo 901-227-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208800000X Urology | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2024-08-16 |