| NPI | 1154546927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIE CAROLINE HANEY-WEAVER Solo Pracititioner 865-673-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN MD40791) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |