NPI | 1043976707 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ISTVAN Owner/President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-11-16 |
Last Update Date | 2023-03-03 |