| NPI | 1053196444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PANGIA Owner/President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |