| NPI | 1922053941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE LEE EVERSON Physician/Owner 901-276-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |