| NPI | 1952724742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN SULLIVAN Family Nurse Practitioner 901-751-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN12894) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |