NPI | 1972920452 |
---|---|
Doing Business As | AMY BONK-CHANIN, MSPAC |
Entity Type | Organization |
Authorized Contact | AMY BONK-CHANIN President 901-761-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 277) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |