| NPI | 1295240596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA GARRISON Credentialing Coord. 865-584-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 202072) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-03-17 |