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 |
Enumeration Date | 2023-10-19 |
Last Update Date | 2023-10-19 |