| NPI | 1861759045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GEORGE BRODY Owner 901-358-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD016758) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-07-02 |