| NPI | 1285746719 |
|---|---|
| Former Legal Business Name | LIFETIME FAMILY CARE DBA PINEY PLUFF MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY LOCKE Billing Administrator 423-224-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD36833) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-03-14 |