NPI | 1215116231 |
---|---|
Entity Type | Organization |
Authorized Contact | SUMMER GROOMES Practice Manager 423-303-3561 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN DO1133) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PAC0000001237) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2023-09-15 |