| NPI | 1023357639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A SIMPSON Administrator 423-756-7134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 26787) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN 15654) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TN 26787) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TN 28796) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TN 36502) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 18170) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 38782) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 28796) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 36502) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2019-01-28 |