| NPI | 1144764937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE CONNORS Business Manager 865-368-8549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD0000030370) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |