NPI | 1902538259 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD HATHCOCK Owner 901-497-3805 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-06-27 |
Last Update Date | 2022-06-27 |