| NPI | 1174738421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J COOK Practice Manager 865-392-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 38206) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-03-09 |