| NPI | 1104017607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A MACKLER Office Administrator 423-629-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 11215) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-10-30 |