| NPI | 1184089559 |
|---|---|
| Other Name | OFFICE OF OB/GYN ELIZABETHTON |
| Entity Type | Organization |
| Authorized Contact | RUSSELL EUGENE LEWIS Executive Director 423-794-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2018-08-22 |