| NPI | 1164488219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY B RUTLEDGE Facility Administrator 423-929-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000056) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |