| NPI | 1073940839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RUSSELL Manager 865-688-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2014-01-28 |