| NPI | 1083030738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SUMIDA President 423-877-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 28047) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |