| NPI | 1861721839 |
|---|---|
| Doing Business As | NEA BAPTIST CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP/Clo 901-227-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2020-09-30 |