NPI | 1255748059 |
---|---|
Other Name | SHULTS PEDIATRICS |
Entity Type | Organization |
Authorized Contact | RANDALL SHULTS Administrator 865-670-1560 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD0000024906) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2014-07-14 |