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 | 2009-10-16 |