| NPI | 1174226757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENGLISH PAIGE ROBERTS Owner 423-334-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-02-06 |