| NPI | 1205005097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE EARLY TUCKER Owner 865-558-1584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN APN0000007667) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN APN0000007667) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |