| NPI | 1962845503 |
|---|---|
| Former Legal Business Name | ATLAS MEN'S HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | ROB BOOTH Pa C 901-509-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2017-01-25 |