| NPI | 1992043111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY M WALKER Doctor 901-348-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TN 065928507) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |