| NPI | 1124421847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA MILLS President 423-353-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 962) |
| 208000000X Pediatrics (Licence: TN 962) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 19037) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |