| NPI | 1033180807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MCCOLLUM Practice Manager 423-623-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 16692) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2010-05-18 |