| NPI | 1255469235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BYRD President 423-472-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |