NPI | 1316229404 |
---|---|
Entity Type | Organization |
Authorized Contact | A. DOUGLAS LENSGRAF President 865-330-6320 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD18742) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD43044) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN15052) | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2011-09-14 |