| NPI | 1124383393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JEAN LINEBERRY Office Manager 423-521-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 45994) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2021-11-11 |