| NPI | 1215087564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE H WEAVER Office Manager 423-756-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-01-12 |