| NPI | 1316185937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A. LEACH Office Manager 423-784-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 26093) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |