NPI | 1821343393 |
---|---|
Entity Type | Organization |
Authorized Contact | KURT ALAN PRICE President 901-867-3995 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013929) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN MD00000034403) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2014-08-14 |