| NPI | 1053825075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY WILLIAMS-CORDEIRO Owner 423-384-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN BC18066) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |