| NPI | 1316304629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J NORRIS Owner 865-687-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 010) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |