| NPI | 1295928588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DORIZAS Owner 423-778-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TN 39362) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |