| NPI | 1336162908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL D WALLEN Physician/Owner 423-844-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TN MD0000017754) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-04-04 |