NPI | 1316228075 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY CHARLENE GRIGSBY Owner/Medical Director 423-378-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 0000042820) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2024-05-15 |