| NPI | 1205595360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULIKA VOHRA Practice Administrator 865-588-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |