| NPI | 1285723585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R MORIN Owner 423-378-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN MD0000011946) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-06-17 |