| NPI | 1255113700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W SCHOONDYKE Medical Director 423-926-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-05-13 |