| NPI | 1053620765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JABER M. MONLA-HASSAN Owner 865-980-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD433403) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 38341) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 38341) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-07-21 |