| NPI | 1043852601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. GORDON Owner 865-777-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |