| NPI | 1083016794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN FAOUD NADROUS Md/Owner 865-986-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000038206) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |