| NPI | 1275842320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA J CROSS Owner 865-981-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 37389) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2013-03-08 |