| NPI | 1811398944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NATHANIEL DONLON Chief Executive Officer 901-267-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |