| NPI | 1326887928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HERRIN Owner/Authorized Official 423-825-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-09-30 |