| NPI | 1235162298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P LITTLE Chief Manager 865-521-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |