| NPI | 1326628389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITA MAE RAMSEY Owner 423-736-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-05-05 |