| NPI | 1104200849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA EVANS Family Nurse Practioner 423-921-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN APN0000012816) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |