| NPI | 1821431107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON ARTHUR MILLER Persident 901-624-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000025954) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |