| NPI | 1285048900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DONESKY Member 423-899-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD25468) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD21612) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |