| NPI | 1265746465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L HAWK Managing Member 865-450-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN000002166) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-02-09 |