| NPI | 1063476794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN CREWS President 865-348-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL FL OS 0005959) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-02-24 |