NPI | 1235334475 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK H BURKHART Physician 865-977-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD0000010267) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2012-12-07 |