| NPI | 1184838245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY P HARTMAN Owner 423-392-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 36815) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TN 139176) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 36815) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-04-20 |