NPI | 1023890605 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH CHOW Owner/President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
207Q00000X Family Medicine | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |