| NPI | 1245251404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELIZABETH LYONS Credentialing Specialist 423-282-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 18545) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN ANP18364) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-06-26 |