| NPI | 1114752821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ELIZABETH HAMBY Credentialing/Administrator 865-273-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-06 |