NPI | 1063619997 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN M KERLEY Owner Physician 423-894-0432 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 163W00000X Registered Nurse |
207RG0100X Internal Medicine, Gastroenterology | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2024-01-24 |