NPI | 1033317144 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA A CHAMBERS Office Manager 423-745-9715 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD19400) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 19400) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2025-09-30 |