| NPI | 1184610248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODESSA BRABSON Chief Executive Officer 423-581-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD 17188) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-02-07 |