| NPI | 1316433238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY CHRISTOPHER CFO 423-622-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-05-17 |