| NPI | 1336823814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL DABBS Owner/ President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207Q00000X Family Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-10-19 |