| NPI | 1184629735 |
|---|---|
| Doing Business As | CAMPBELL STATION PRIMARY CARE ASSOC |
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL MARTIN Chief Manager / Provider 865-675-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7953) |
| Enumeration Date | 2005-06-19 |
| Last Update Date | 2011-05-03 |