| NPI | 1043688138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE GEREN Owner 423-531-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA 621999) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-12-16 |