| NPI | 1255593356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JO WILLIAMS Administrator 423-844-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000052) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-07-15 |