| NPI | 1194082099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEE BAGWELL Audiologist 423-928-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TN A000000041) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |