| NPI | 1114136561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN G HATHAWAY Owner/Provider 423-283-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TN APN6312) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-03-03 |