| NPI | 1285680819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LOCKE Billing Administrator 423-224-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363AM0700X Physician Assistant, Medical | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207L00000X Anesthesiology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-09-16 |