| NPI | 1922053941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE LEE EVERSON Physician/Owner 901-276-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-09-11 |