| NPI | 1942867049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELESHA PERRY Authroized Official/Sole Owner 901-488-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |