| 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 |