| NPI | 1316915986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON B WHITMIRE Administrator 423-855-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207Y00000X Otolaryngology | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-09-30 |