| NPI | 1255702635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY SENTER Owner 865-934-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 477865974) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |