| NPI | 1306853965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA NEPOMUCENO COLEMAN Owner 423-581-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD0000029081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015927) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017666) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-02-25 |