| NPI | 1043971575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CLEARY Partner 423-521-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-03-31 |