| NPI | 1326287871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LENSGRAF Practice Administrator 865-558-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2020-03-12 |