| NPI | 1801142906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY KENNEDY Owner 901-674-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA MD.204714) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |