| NPI | 1992312094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WALKER Dnp 901-652-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |