| NPI | 1275649519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY C BEARDSLEY-RAY Administrator 865-549-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 24287) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 15337) |
| 207X00000X Orthopaedic Surgery (Licence: TN 37760) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-12-05 |