| NPI | 1194087833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERSHON YEHUDA PERRY Administrator 423-778-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD 26032) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-11 |