| NPI | 1295908457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M KOENIG Director/Owner 865-966-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000023543) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2013-12-31 |