| NPI | 1992758882 |
|---|---|
| Former Legal Business Name | THE CONRAD PEARSON CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSSELL A DEGEORGE CEO 901-252-3400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208800000X Urology (Licence: TN N/A FOR THE GROUP) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-09-16 |