| NPI | 1245772391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HUTCHINS Practice Supervisor 865-305-9218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3137) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |