| NPI | 1063629400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SHAVER Director Or Reimbursement 423-778-4712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC H0239) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC H0239) |
| 363L00000X Nurse Practitioner (Licence: NC H0239) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-07-15 |