| NPI | 1255866711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MCSWAIN Credntialing Specialist 865-243-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-10-12 |