| NPI | 1962201905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKIA LINDSAY THOMPSON Vice President 901-691-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |