| NPI | 1134324510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MULLIN Owner 423-339-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-05-23 |