| NPI | 1073703971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S AMBROSE, M.D. Owner/Head Doctor 865-690-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000006952) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-05-30 |