| NPI | 1043353808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B SILCOX President 423-587-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN NP11594) |
| 363LF0000X Nurse Practitioner Family (Licence: TN APN12848) | |
| 207T00000X Neurological Surgery (Licence: TN 5529) | |
| 207R00000X Internal Medicine (Licence: TN 71290034) | |
| 207Q00000X Family Medicine (Licence: TN DO0000000682) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-09-13 |