NPI | 1114113628 |
---|---|
Doing Business As | GRACE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | DEVON D SMITH Owner 423-307-8088 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD21152) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2008-01-04 |