| NPI | 1174691794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MOFFATT Owner 423-339-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |