| NPI | 1003014507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WILSON VICK Owner 865-522-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD0000014697) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-10-16 |