| NPI | 1972782670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN SMITH MALONE AO M 901-396-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 207V00000X) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2011-03-04 |