| NPI | 1225451057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MILLWOOD President 865-228-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TN MD018122) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |