| NPI | 1265438303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIERLY Medical Director 423-643-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 00000162) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2025-04-14 |