| NPI | 1295751626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELLA SMALLEY Sole Proprieter 865-466-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TN APN0000010924) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |