| NPI | 1053451690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY DAVIS RN 423-543-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TN 0125502) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |