| NPI | 1245032374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MCSWAIN Crenedtialing Cordinator 865-243-8183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-07-17 |