| NPI | 1205185808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY H LUCAS Chief Officer/Owner/Physician 865-218-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000036890) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |