| NPI | 1154442861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA Y WALKER Practice Administrator 865-686-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN 202K00000X) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-02-24 |