| NPI | 1306898416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY HAWKINS Administrator 423-247-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000054) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-02-28 |