NPI | 1053348581 |
---|---|
Doing Business As | DOGWOOD FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | ROBERT K BEAM President 865-579-0599 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 36042) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2009-12-09 |