| NPI | 1932216389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANDRIA F EVANS Administrator 901-272-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-10-03 |