| NPI | 1043451578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY WALLACE METTETAL President/Owner 423-341-7538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD 10753) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |