| NPI | 1982963872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2024-09-16 |