| NPI | 1174982193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KIDD President & CEO 423-467-3600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 315-07-004) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |