| NPI | 1033410220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE R BUCKLES Vice President 423-930-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD0000038183) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |