| NPI | 1861719445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKEY HUGH HUDSON Owner 901-332-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 18656) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN 13959) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |