| NPI | 1063507572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS JEFFERSON MANCE President 423-954-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |