| NPI | 1316283252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI L REAVES Physician 423-408-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN DO0000002262) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2013-04-17 |