NPI | 1295784148 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE NELSON Credentialing Coordinator 423-702-7555 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2006-05-09 |
Last Update Date | 2010-06-18 |