| NPI | 1215794094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JEFFERSON SCARBROUGH Md, Owner 865-999-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2085R0001X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2026-08-04 |