| NPI | 1093254419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJAL MANDAVIA President/Owner 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |