| NPI | 1174532758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHAFER PRINCE Owner 865-522-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD000000044) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-12-11 |