NPI | 1164454450 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL L DABBS President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-10-14 |