NPI | 1154823078 |
---|---|
Entity Type | Organization |
Authorized Contact | MANIE RAVEE Medical Director/Physican 423-693-9477 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 41412) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-03-22 |