| NPI | 1225867971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CIRCOLONE Owner/Provider 423-855-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-08-02 |