NPI | 1881263853 |
---|---|
Doing Business As | AGELESS MEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | TEAH MICHELLE PHILLIPS Credentialing Manager 901-205-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-09-27 |