NPI | 1285004960 |
---|---|
Doing Business As | SCENIC CITY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BRIAN WALLS Incorporator/Np 423-227-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015977) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-10-22 |