| NPI | 1063459410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CLEAR Director Of Quality 423-794-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 261Q00000X Clinic/Center | |
| 261QP3300X Clinic/Center Pain | |
| 261QR0200X Clinic/Center Radiology | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-11-07 |