| NPI | 1124024534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN M SADOWITZ Practice Manager 423-493-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 25915) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-10-25 |