| NPI | 1144668096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN MOUGHRABI Owner 423-240-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |