| NPI | 1104830405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KISTNER FLETCHER-HELTON Practice Administrator 423-844-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-02-01 |