NPI | 1770971533 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH ANDRE CARPENTER Chief Operating Officer 901-463-0105 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6284) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2023-08-22 |