| NPI | 1326887928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY W SIMS Owner 423-486-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 227900000X Respiratory Therapist, Registered | |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-11-01 |