| NPI | 1326467259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE GENTRY Office Manager 423-727-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN DO0000000073) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |