| NPI | 1821082702 |
|---|---|
| Other Name | EDWIN C GLASSELL |
| Entity Type | Organization |
| Authorized Contact | EDWIN C GLASSELL Md 931-552-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X (Licence: TN 0000000069) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-06-13 |