| NPI | 1023186145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D MCLAIN Supervising Physician 423-246-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN md11895) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-10-07 |