| NPI | 1003492562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE E LEWEY Owner 423-946-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-10-28 |