| NPI | 1811999394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2005-08-14 |
| Last Update Date | 2024-08-08 |