NPI | 1881483733 |
---|---|
Entity Type | Organization |
Authorized Contact | MAURICE HAMPTON Owner 901-791-1711 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207RN0300X Internal Medicine, Nephrology | |
Enumeration Date | 2025-05-06 |
Last Update Date | 2025-05-06 |