| NPI | 1134782170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F BERRY Medical Director 423-631-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-08-19 |