| NPI | 1942691134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN CHISHOLM Physician/Sole Proprietor 901-244-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 39713) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |