| NPI | 1003006032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE MARSHALL COOK Sole Proprietor 865-588-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD014748) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |