| NPI | 1043503964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGHERTY Chief Medical Officer 865-599-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 8309) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |