| NPI | 1134612245 |
|---|---|
| Other Name | FACULTY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | ODESSA BRABSON CFO 423-581-5925 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN dpm739) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |