| NPI | 1013964063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN J WILLIAMS Administrator 423-844-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000052) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-01-16 |