| NPI | 1215330592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE J NORTON Office COO Rdinator 423-775-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 14692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13493) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |