| NPI | 1174897888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Director/ Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2021-09-15 |