| 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 |